[Percutaneous antegrade endopyelotomy].
Between 1987 and 1996 forty eight endypyelotomies (EPT) were performed in our institute on account of ureteropelvic junction (UPJ) obstruction. Forty three obstructions were primary, five secondary. Three EPT were made under fluoroscopic control but with poor results. Twenty one EPT were antegrade, percutaneous and 24 EPT were retrograde, ureteroscopic. The criteria of EPT as successful were improvement of radiological parameters, patient symptomatology and urinary bacteriology. The overall success rate of antegrade EPT was 81%. The results of retrograde EPT are similar as the antegrade ones, but follow up is too short to evaluate them. The results support the view, that EPT should be considered as first choice therapy for most UPJ obstructions.
Köhler
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Urologická klinika 2, LF UK a FN Motol, Praha.
D000293:Adolescent; D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007682:Kidney Pelvis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014513:Ureter / Q000601:surgery*; D014517:Ureteral Obstruction / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*
Perkutánní antegrádní endopyelotomie.